Supplemental security income and social security disability insurance coverage among long-term childhood cancer survivors Journal Article
| Authors: | Kirchhoff, A. C.; Parsons, H. M.; Kuhlthau, K. A.; Leisenring, W.; Donelan, K.; Warner, E. L.; Armstrong, G. T.; Robison, L. L.; Oeffinger, K. C.; Park, E. R. |
| Article Title: | Supplemental security income and social security disability insurance coverage among long-term childhood cancer survivors |
| Abstract: | Supplemental security income (SSI) and social security disability insurance (DI) are federal programs that provide disability benefits. We report on SSI/DI enrollment in a random sample of adult, long-term survivors of childhood cancer (n = 698) vs a comparison group without cancer (n = 210) from the Childhood Cancer Survivor Study who completed a health insurance survey. A total of 13.5% and 10.0% of survivors had ever been enrolled on SSI or DI, respectively, compared with 2.6% and 5.4% of the comparison group. Cranial radiation doses of 25 Gy or more were associated with a higher risk of current SSI (relative risk [RR] = 3.93, 95% confidence interval [CI] = 2.05 to 7.56) and DI (RR = 3.65, 95% CI = 1.65 to 8.06) enrollment. Survivors with severe/life-threatening conditions were more often enrolled on SSI (RR = 3.77, 95% CI = 2.04 to 6.96) and DI (RR = 2.73, 95% CI = 1.45 to 5.14) compared with those with mild/moderate or no health conditions. Further research is needed on disability-related financial challenges after childhood cancer. © 2015 The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com. |
| Keywords: | cancer surgery; comparative study; radiation dose; outcome assessment; follow up; health survey; risk factor; childhood cancer; high risk patient; cancer survivor; health insurance; disease severity; sex difference; second cancer; employment status; marriage; income; social security; human; priority journal; article; apparent life threatening event; disability insurance; economic recession; general health status assessment; supplemental security income |
| Journal Title: | JNCI: Journal of the National Cancer Institute |
| Volume: | 107 |
| Issue: | 6 |
| ISSN: | 0027-8874 |
| Publisher: | Oxford University Press |
| Date Published: | 2015-06-01 |
| Start Page: | djv057 |
| Language: | English |
| DOI: | 10.1093/jnci/djv057 |
| PROVIDER: | scopus |
| PUBMED: | 25770148 |
| PMCID: | PMC4650970 |
| DOI/URL: | |
| Notes: | Export Date: 2 July 2015 -- Source: Scopus |
